Individual
MS. MELISSA ANN SPAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6300 POWERS RD, ORCHARD PARK, NY 14127-3216
(716) 667-3200
Mailing address
6300 POWERS RD, ORCHARD PARK, NY 14127-3216
(716) 667-3200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23-010674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02706054
—
NY
Enumeration date
02/20/2006
Last updated
09/28/2010
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